Neurology

A 28-year-old male from Nepal was diagnosed with chronic kidney disease after experiencing persistent weakness and loss of appetite for nearly two years. Investigations revealed severely impaired kidney function, and he was initiated on hemodialysis through a catheter placed in the right side of his neck. He was advised to undergo AV fistula creation and maintain regular maintenance hemodialysis (MHD) three times a week.

However, due to irregular dialysis sessions, his condition worsened. He then consulted the expert team of nephrologists, Dr. Prajit Mazumdar and Dr. Inderjit G. Momin, along with urologists, Dr. Vaibhav Saxena and Dr. Kuldeep Agarwal, at Yashoda Medicity. The team counselled him regarding renal replacement therapy (RRT), the importance of regular MHD, and recommended renal transplantation as the most effective long-term solution.

His transplant evaluation began with his mother as the donor. During the assessment, he was found to have significant anaemia and reduced cardiac function, likely resulting from inconsistent dialysis, which increased his peri-operative risk. After thorough counselling, he was optimised for surgery, and immunosuppressive therapy was initiated two days prior to the procedure.

The patient successfully underwent renal transplantation with ATG induction. Post-surgery, he showed excellent recovery with good urine output and steadily improving creatinine levels. He was discharged with a creatinine of 1.2 mg/dl and continues to do well on follow-up.

Treatment By:
Dr. Vaibhav Saxena, Dr. Kuldeep Agarwal, Dr. Prajit Mazumdar, and Dr. Inderjit G. Momin

Conquering a Complex Brain Aneurysm with Advanced Endovascular Therapy

A patient with a spinal condition was treated at Yashoda Medicity through a navigation-guided minimally invasive spine surgery, marking the first such procedure in the state. The surgery was performed in our state-of-the-art Neuro-Spine OT, equipped with O-arm, Stealth-8 Neuronavigation, Allen table, and IONM.

The procedure was led by Dr. Dibya Jyoti Mahakul, Consultant – Minimally Invasive Neuro-Spine Surgeon, who performed the surgery with unmatched precision. Using the neuronavigation system, the team could visualize the movements of all instruments in real time, ensuring the accurate placement of implants.

The minimally invasive approach resulted in minimal blood loss and muscle damage, and the patient experienced immediate pain relief. This achievement underscores our commitment to leveraging cutting-edge technology to provide safe, precise, and effective surgical solutions for spine problems.

At Yashoda Medicity, we care about your back. When it comes to spine conditions, you’re in safe hands.

Treatment By:
Dr. Dibya Jyoti Mahakul

First Navigation-Guided Minimally Invasive Spine Surgery at Yashoda Medicity
A patient with a spinal condition was treated at Yashoda Medicity through a navigation-guided minimally invasive spine surgery, marking the first such procedure in the state. The surgery was performed in our state-of-the-art Neuro-Spine OT, equipped with O-arm, Stealth-8 Neuronavigation, Allen table, and IONM.

The procedure was led by Dr. Dibya Jyoti Mahakul, Consultant – Minimally Invasive Neuro-Spine Surgeon, who performed the surgery with unmatched precision. Using the neuronavigation system, the team could visualize the movements of all instruments in real time, ensuring the accurate placement of implants.

The minimally invasive approach resulted in minimal blood loss and muscle damage, and the patient experienced immediate pain relief. This achievement underscores our commitment to leveraging cutting-edge technology to provide safe, precise, and effective surgical solutions for spine problems.

At Yashoda Medicity, we care about your back. When it comes to spine conditions, you’re in safe hands.

Treatment By:
Dr. Dibya Jyoti Mahakul

First Awake Brain Surgery at Yashoda Medicity

At Yashoda Medicity, we don’t just operate on brain tumors – we preserve normal brain functions too. We successfully performed our first awake brain surgery in our state-of-the-art Neurosurgery OT, equipped with the Kinevo 900 operating microscope with 3D exoscope, fluorescence filters, Stealth-8 neuronavigation system, BK 5000 intraoperative ultrasound, IONM, and CUSA.

Led by Dr. Dibya Jyoti Mahakul, Consultant - Minimal invasive Brain, Spine and Endovascular Neurosurgery and supported by our expert neuroanaesthesia team and neuropsychologist, the patient was kept awake during key parts of the procedure, allowing continuous monitoring of neurological function.

This milestone underscores our commitment to precision-driven, comprehensive care for patients with brain tumors. It reflects our dedication to bringing cutting-edge technology to society and providing safer neurosurgical options, resulting in faster recovery and better outcomes.

When it comes to brain surgeries, you’re in expert hands at Yashoda Medicity.

Treatment By:
Dr. Dibya Jyoti Mahakul

A 4-year-old, 11 kg child was brought to the Department of Pediatric Cardiac Sciences at Yashoda Medicity, Indirapuram, with complaints of bluish discoloration of fingernails and toes, poor weight gain, easy fatigue on walking, and recurrent hospital admissions. 
Clinical evaluation revealed an oxygen saturation of 75%, prompting further investigations including echocardiography and CT pulmonary angiography.

The child was diagnosed with Cyanotic Congenital Heart Disease known as Tetralogy of Fallot (TOF), with additional apical muscular VSD and a hypoplastic pulmonary annulus.

The patient underwent open-heart surgery called Intracardiac Repair, including closure of multiple VSDs with a transannular patch over the neopulmonary valve. The procedure was led by Dr. Abhinavsingh Chauhan, Consultant Pediatric Cardio-thoracic and Vascular Surgery. Advanced post-operative care in the Pediatric Cardiac ICU was uneventful, and post-operative echocardiography confirmed a successful repair.

The child was discharged in a stable and ambulatory condition on the 5th post-operative day, with oxygen saturation improving to 99%. This case reflects Yashoda Medicity’s expertise in managing complex pediatric cardiac conditions, combining cutting-edge surgical techniques with specialized intensive care to ensure safe, life-transforming outcomes for children.

Treatment By:
Dr. Abhinavsingh Chauhan

A challenging case of Erythroderma in a young male patient.

A 31-year-old male presented to our dermatology OPD with severe redness and flakiness of skin all over the body. The symptoms had been present for two months, with a marked worsening in the last 15 days. After a detailed history, examination, and workup, the patient was diagnosed with Erythroderma – a serious condition where there is erythema and scaling over more than 90% of the body surface area. Despite having experienced similar skin problems in the past, the patient had never received a correct diagnosis and was unaware of the underlying disorder that could have led to Erythroderma.

Given the extensive nature of skin involvement and risk of serious complications, he was admitted for detailed evaluation and prompt management. A thorough workup was performed, and appropriate medical treatment was initiated. Over the course of 7–10 days, the patient showed remarkable clinical improvement; the skin lesions resolved significantly, systemic parameters stabilized, and he was safely discharged.

Most importantly, after nearly 3–4 years of recurrent but undiagnosed skin issues, the patient was finally diagnosed with atopic dermatitis. This accurate diagnosis not only explained his longstanding symptoms but also enabled the initiation of targeted treatment and counseling regarding long-term care and preventive measures. With this approach, the patient was able to move beyond temporary symptom relief toward effective disease control and an improved quality of life.

Treatment By:
Dr. Kriti Maheshwari

A 4-year-old male child with congenital Pelvi-Ureteric Junction (PUJ) Obstruction underwent Robot-Assisted Pyeloplasty at Yashoda Medicity. The child had an excellent postoperative recovery and was discharged on postoperative day 2.

Robotic surgery offers superior precision and control, providing a significant advantage not only in cancer surgeries but also in pediatric minimally invasive procedures.

The benefits of robotic surgery over conventional techniques include smaller incisions, minimal intraoperative blood loss, enhanced surgical precision and dissection, reduced postoperative pain, and faster recovery and discharge.

The Department of Urology at Yashoda Medicity is committed to providing the highest standard of care to every patient, with special expertise in Robotic Surgery, Reconstructive Urology, Uro-Oncology, Stone Diseases, and Renal Transplant Surgeries.

Treatment By:
Dr. Vaibhav Saxena

The Department of Urology at Yashoda Medicity, Indirapuram, headed by Dr. Vaibhav Saxena, a pioneer in Robotic Urological Surgeries, has successfully performed a wide range of robotic procedures in both Urology and Uro-Oncology. Patients from across India have been successfully treated for various cancers and other urological conditions.

Among his recent notable cases was a Robotic Radical Cystectomy with Pelvic Lymph Node Dissection and Intracorporeal Urinary Diversion, performed on a patient who had travelled from Mathura for treatment. The patient had previously received neoadjuvant chemoradiation but developed a recurrence in the urinary bladder. Curative robotic surgery was deemed the best option. The patient underwent a successful procedure and was discharged on the fifth postoperative day.

Treatment By:
Dr. Vaibhav Saxena

Conquering a Complex Brain Aneurysm with Advanced Endovascular Therapy

Brain aneurysms are often described as ticking time bombs—silent, unpredictable, and potentially life-threatening if left untreated. They pose one of the most complex challenges in modern neurosurgery, requiring both precision and cutting-edge technology for successful management.

A 60-year-old woman presented with multiple episodes of severe headache, prompting her to consult Dr. Sumantao Chaterjee (Neurologist). Given the persistence and pattern of her symptoms, a brain angiography was recommended and performed by Dr. Dibya Jyoti Mahakul (Endovascular Neurosurgeon).

The imaging revealed a complex brain aneurysm, one that demanded meticulous planning due to its size, shape, location, and blood flow dynamics. After careful evaluation, the patient was offered a scarless, minimally invasive endovascular treatment. A flow diverter stent was strategically placed across the neck of the aneurysm to divert blood flow away from the aneurysm sac, promoting healing and preventing rupture. While technically challenging, the procedure was greatly aided by our state-of-the-art biplanar cath lab, equipped with advanced imaging tools like Vaso CT, CBCT, and MAFA software. These technologies ensured maximum precision, safety, and speed for both the patient and surgical team. Remarkably, the patient was discharged the very next day in a stable condition—aneurysm secured, risk averted.

Today, she is back home with her family, free from the shadow of a life-threatening condition, and ready to embrace life on her own terms.

Treatment By:
Dr. Dibya Jyoti Mahakul, Dr. Sumantao Chaterjee

A 51-year-old lady with left arm pain more than neck pain of 10 years duration, with BMI 44 and a short neck nearly the chin touching the chest, was diagnosed with OPLL C3-6 with myelopathy and fixed kyphosis of 20°. MRI showed cord signal changes at C5, and CT  confirmed OPLL C3 -6 with high probability of intradural mass ( double density sign). Conventional wisdom (K line, kyphosis, anterior pathology etc.) dictated towards an anterior surgery, but possibility of dural laceration (intradural OPLL mass), with potential for other complications (cord / trachea / esophageal compression by pseudomeningole, meningitis, spinal cord hernia etc.) were discussed in detail and a decission was taken to decompress and fix from the posterior aspect. The pre-op CT angio showed B/L high-riding vertebral arteries, which precluded the  C2 screw. 
 

Per operatively, the patient was positioned prone with the head clamped and a posterior exposure done. LM screw entry points were made from C3-6, followed by grade 1 facet resection at C3-4, C4-5, and C5-6 bilaterally. Further lordosis was achieved with manipulation of the head with the head clamp and closing the osteotomy gaps. LM screws (C3-6), a laminar screw at C2, and a pedicle screw at T1 & 2 were inserted and connected with rods. 
 

C3-6 laminectomy was done, and the surgical site was closed after bone graft mixed with vancomycin was applied laterally.
 

Postoperative x-ray showed adequate lordosis (approximately 10 degrees) attainment.

The patient reported complete pain relief in the left shoulder and arm postoperatively.

Treatment By:
Dr. Ankur Goswami